PROVIDENCE HEALTH & SERVICES MT

MISSOULA, MT
NPI1154562981
Doing Business AsPMG MT PEDIATRIC HOSPITALISTS
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Enumeration Date2009-03-06
Last Update Date2021-11-22
Business Address
PROVIDENCE HEALTH & SERVICES MT
500 W BROADWAY ST
MISSOULA, MT 59802-4096
Phone number: 406-327-1613
Mailing Address
PROVIDENCE HEALTH & SERVICES MT
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-543-7271